Individual
DR. DANIEL EDGAR BURGDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7750 MERRICK RD, ROME, NY 13440-2136
(315) 336-6761
(315) 336-6761
Mailing address
7750 MERRICK RD, ROME, NY 13440-2136
(315) 336-6761
(315) 336-6761
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X1700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01700-6
WCB AUTHORIZATION NUMBER
NY
Enumeration date
11/06/2006
Last updated
07/08/2007
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